[{"innerBlocks":[],"name":"core\/freeform","postId":914,"blockType":{"name":"core\/freeform","keywords":[],"attributes":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"providesContext":[],"usesContext":[],"selectors":[],"supports":{"className":false,"customClassName":false,"reusable":false},"styles":[],"variations":[],"apiVersion":3,"title":"Classic","description":"Use the classic WordPress editor.","category":"text"},"originalContent":"Boston Medical Center is able to gather social determinants of health information with an electronic health record-based model that screens primary care patients for unmet needs.

The THRIVE model, developed by researchers at Boston Medical Center, leverages a one-page screener that patients fill out in the waiting room prior to their appointment. Then, a medical assistant enters those responses into the EHR.

Based on that input information, the EHR prompts the provider to address any SDOH concerns raised by the patient in the screener during the appointment and adds these needs to the patient\u2019s chart through auto-generated ICD-10 codes.

The system also prints out information on referral resources available at BMC and in the community, where a patient\u2014upon request\u2014can get help for an SDOH need that has been identified in the screening tool.

An observational study, published<\/a> in the journal Medical Care<\/i>, concludes that \u201cimplementing a systematic clinical strategy in primary care using EHR workflows was successful in identifying and providing resource information to patients with SDOH needs.\u201d

In the study, 26 percent of patients responded positively to one or more social needs, with employment (12 percent), food insecurity (11 percent) and problems affording medications (11 percent) cited as the most prevalent needs based on the screening tool.

\u201cThe screening and referral workflow in the EHR facilitated documentation of ICD-10 codes and streamlined the provision of resources to patients requesting additional information,\u201d according to the study\u2019s authors.

Also See<\/b>: SDOH screening differs widely among community health centers<\/a>

\u201cThe ability to successfully incorporate this critical information into the electronic medical record is a true game changer when it comes to addressing the whole patient,\u201d says lead author Pablo Buitron de la Vega, MD, a physician in general internal medicine. \u201cAs a physician, this information is vital to the health and well being of my patients and their families. Now that I am aware of these issues, I can better treat them by connecting them with resources that will help them thrive.\u201d

As a result of the successful study, all patients in BMC ambulatory primary care clinics\u2014including family medicine, pediatrics, obstetrics and gynecology, and general internal medicine\u2014are being screened using THRIVE. So far, the medical center has screened more than 57,000 patients, with housing, food and education emerging as the most common SDOH needs among patients.

In addition, the THRIVE model\u2014including the screening tool\u2014has been shared with BMC\u2019s accountable care organization partners as well as other healthcare providers nationwide that have successfully implemented the solution into their systems.

\u201cThis data-driven approach is a novel way to address healthcare inequity while also addressing the rising costs of healthcare, including Medicaid,\u201d says senior author Nancy Kressin, a professor of medicine at Boston University School of Medicine. \u201cWe believe that THRIVE can help change the delivery of care at BMC, within our ACO, and that its scalability can have positive impacts on healthcare delivery at the national level.\u201d","saveContent":"Boston Medical Center is able to gather social determinants of health information with an electronic health record-based model that screens primary care patients for unmet needs.

The THRIVE model, developed by researchers at Boston Medical Center, leverages a one-page screener that patients fill out in the waiting room prior to their appointment. Then, a medical assistant enters those responses into the EHR.

Based on that input information, the EHR prompts the provider to address any SDOH concerns raised by the patient in the screener during the appointment and adds these needs to the patient\u2019s chart through auto-generated ICD-10 codes.

The system also prints out information on referral resources available at BMC and in the community, where a patient\u2014upon request\u2014can get help for an SDOH need that has been identified in the screening tool.

An observational study, published<\/a> in the journal Medical Care<\/i>, concludes that \u201cimplementing a systematic clinical strategy in primary care using EHR workflows was successful in identifying and providing resource information to patients with SDOH needs.\u201d

In the study, 26 percent of patients responded positively to one or more social needs, with employment (12 percent), food insecurity (11 percent) and problems affording medications (11 percent) cited as the most prevalent needs based on the screening tool.

\u201cThe screening and referral workflow in the EHR facilitated documentation of ICD-10 codes and streamlined the provision of resources to patients requesting additional information,\u201d according to the study\u2019s authors.

Also See<\/b>: SDOH screening differs widely among community health centers<\/a>

\u201cThe ability to successfully incorporate this critical information into the electronic medical record is a true game changer when it comes to addressing the whole patient,\u201d says lead author Pablo Buitron de la Vega, MD, a physician in general internal medicine. \u201cAs a physician, this information is vital to the health and well being of my patients and their families. Now that I am aware of these issues, I can better treat them by connecting them with resources that will help them thrive.\u201d

As a result of the successful study, all patients in BMC ambulatory primary care clinics\u2014including family medicine, pediatrics, obstetrics and gynecology, and general internal medicine\u2014are being screened using THRIVE. So far, the medical center has screened more than 57,000 patients, with housing, food and education emerging as the most common SDOH needs among patients.

In addition, the THRIVE model\u2014including the screening tool\u2014has been shared with BMC\u2019s accountable care organization partners as well as other healthcare providers nationwide that have successfully implemented the solution into their systems.

\u201cThis data-driven approach is a novel way to address healthcare inequity while also addressing the rising costs of healthcare, including Medicaid,\u201d says senior author Nancy Kressin, a professor of medicine at Boston University School of Medicine. \u201cWe believe that THRIVE can help change the delivery of care at BMC, within our ACO, and that its scalability can have positive impacts on healthcare delivery at the national level.\u201d","order":0,"get_parent":{},"attributes":[],"attributesType":{"content":{"type":"string","source":"raw"},"lock":{"type":"object"}},"dynamicContent":""}]

Boston Medical Center implements SDOH screening tool in EHR

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